Preparedness and response to Pediatric CoVID-19 in European Emergency Departments: a survey of the REPEM and PERUKI networks.
Identifieur interne : 000895 ( Main/Exploration ); précédent : 000894; suivant : 000896Preparedness and response to Pediatric CoVID-19 in European Emergency Departments: a survey of the REPEM and PERUKI networks.
Auteurs : Silvia Bressan [Italie] ; Danilo Buonsenso [Italie] ; Ruth Farrugia [Malte] ; Niccolo' Parri [Italie] ; Rianne Oostenbrink [Pays-Bas] ; Luigi Titomanlio [France] ; Damian Roland [Royaume-Uni] ; Ruud G. Nijman [Royaume-Uni] ; Ian Maconochie [Royaume-Uni] ; Liviana Da Dalt [Italie] ; Santiago Mintegi [Espagne]Source :
- Annals of emergency medicine [ 1097-6760 ] ; 2020.
Abstract
Study objective
We aimed to describe the variability and identify gaps in preparedness and response to the COVID-19 pandemic in European EDs caring for children.
Methods
A cross-sectional point prevalence survey, was developed and disseminated through the pediatric emergency medicine research networks for Europe (REPEM) and the United Kingdom and Ireland (PERUKI). We aimed to include ten EDs for countries with > 20 million inhabitants and five EDs for less populated countries, unless the number of eligible EDs was below five. ED directors or their delegates completed the survey between March 20
Results
Overall 102 centers from 18 countries (86% response rate) completed the survey: 34% did not have an ED contingency plan for pandemics and 36% had never had simulations for such events. Wide variation on PPE items was shown for recommended PPE use at pre-triage and for patient assessment, with 62% of centers experiencing shortage in one or more PPE items, most frequently FFP2/N95 masks. Only 17% of EDs had negative pressure isolation rooms. COVID-19 positive ED staff was reported in 25% of centers.
Conclusion
We found variation and identified gaps in preparedness and response to the COVID-19 epidemic across European referral EDs for children. A lack in early availability of a documented contingency plan, provision of simulation training, appropriate use of PPE, and appropriate isolation facilities emerged as gaps that should be optimized to improve preparedness and inform responses to future pandemics.
DOI: 10.1016/j.annemergmed.2020.05.018
PubMed: 32419713
PubMed Central: PMC7225691
Affiliations:
- Espagne, France, Italie, Malte, Pays-Bas, Royaume-Uni
- Angleterre, Grand Londres, Hollande-Méridionale, Latium, Île-de-France
- Londres, Paris, Rome, Rotterdam
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Preparedness and response to Pediatric CoVID-19 in European Emergency Departments: a survey of the REPEM and PERUKI networks.</title><author><name sortKey="Bressan, Silvia" sort="Bressan, Silvia" uniqKey="Bressan S" first="Silvia" last="Bressan">Silvia Bressan</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova</wicri:regionArea><wicri:noRegion>Department of Women's and Children's Health - University Hospital of Padova</wicri:noRegion></affiliation></author><author><name sortKey="Buonsenso, Danilo" sort="Buonsenso, Danilo" uniqKey="Buonsenso D" first="Danilo" last="Buonsenso">Danilo Buonsenso</name><affiliation wicri:level="3"><nlm:affiliation>Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. 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Nijman</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, Department of Infectious Diseases, Section of Pediatric Infectious Diseases, Imperial College London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Faculty of Medicine, Department of Infectious Diseases, Section of Pediatric Infectious Diseases, Imperial College London</wicri:regionArea><wicri:noRegion>Imperial College London</wicri:noRegion></affiliation></author><author><name sortKey="Maconochie, Ian" sort="Maconochie, Ian" uniqKey="Maconochie I" first="Ian" last="Maconochie">Ian Maconochie</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Da Dalt, Liviana" sort="Da Dalt, Liviana" uniqKey="Da Dalt L" first="Liviana" last="Da Dalt">Liviana Da Dalt</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova</wicri:regionArea><wicri:noRegion>Department of Women's and Children's Health - University Hospital of Padova</wicri:noRegion></affiliation></author><author><name sortKey="Mintegi, Santiago" sort="Mintegi, Santiago" uniqKey="Mintegi S" first="Santiago" last="Mintegi">Santiago Mintegi</name><affiliation wicri:level="1"><nlm:affiliation>Pediatric Emergency Department, Biocruces Bizkaia Health Research Institute, Hospital Universitario Cruces. University of the Basque Country, UPV/EHU. Bilbao, Basque Country, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Pediatric Emergency Department, Biocruces Bizkaia Health Research Institute, Hospital Universitario Cruces. University of the Basque Country, UPV/EHU. Bilbao, Basque Country</wicri:regionArea><wicri:noRegion>Basque Country</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32419713</idno><idno type="pmid">32419713</idno><idno type="doi">10.1016/j.annemergmed.2020.05.018</idno><idno type="pmc">PMC7225691</idno><idno type="wicri:Area/Main/Corpus">001243</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001243</idno><idno type="wicri:Area/Main/Curation">001243</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001243</idno><idno type="wicri:Area/Main/Exploration">001243</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Preparedness and response to Pediatric CoVID-19 in European Emergency Departments: a survey of the REPEM and PERUKI networks.</title><author><name sortKey="Bressan, Silvia" sort="Bressan, Silvia" uniqKey="Bressan S" first="Silvia" last="Bressan">Silvia Bressan</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova</wicri:regionArea><wicri:noRegion>Department of Women's and Children's Health - University Hospital of Padova</wicri:noRegion></affiliation></author><author><name sortKey="Buonsenso, Danilo" sort="Buonsenso, Danilo" uniqKey="Buonsenso D" first="Danilo" last="Buonsenso">Danilo Buonsenso</name><affiliation wicri:level="3"><nlm:affiliation>Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Università Cattolica del Sacro Cuore, Roma, Italia.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Università Cattolica del Sacro Cuore, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Farrugia, Ruth" sort="Farrugia, Ruth" uniqKey="Farrugia R" first="Ruth" last="Farrugia">Ruth Farrugia</name><affiliation wicri:level="1"><nlm:affiliation>Department of Child and Adolescent Health, Mater Dei Hospital, Msida, Malta.</nlm:affiliation><country xml:lang="fr">Malte</country><wicri:regionArea>Department of Child and Adolescent Health, Mater Dei Hospital, Msida</wicri:regionArea><wicri:noRegion>Msida</wicri:noRegion></affiliation></author><author><name sortKey="Parri, Niccolo" sort="Parri, Niccolo" uniqKey="Parri N" first="Niccolo'" last="Parri">Niccolo' Parri</name><affiliation wicri:level="1"><nlm:affiliation>Emergency Department & Trauma Center, Ospedale Pediatrico Meyer Firenze, Florence, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Emergency Department & Trauma Center, Ospedale Pediatrico Meyer Firenze, Florence</wicri:regionArea><wicri:noRegion>Florence</wicri:noRegion></affiliation></author><author><name sortKey="Oostenbrink, Rianne" sort="Oostenbrink, Rianne" uniqKey="Oostenbrink R" first="Rianne" last="Oostenbrink">Rianne Oostenbrink</name><affiliation wicri:level="3"><nlm:affiliation>Department general Pediatrics, ErasmusMC - Sophia, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department general Pediatrics, ErasmusMC - Sophia, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Titomanlio, Luigi" sort="Titomanlio, Luigi" uniqKey="Titomanlio L" first="Luigi" last="Titomanlio">Luigi Titomanlio</name><affiliation wicri:level="3"><nlm:affiliation>Pediatric Emergency Department, Hopital Universitaire Robert-Debre, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pediatric Emergency Department, Hopital Universitaire Robert-Debre, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Roland, Damian" sort="Roland, Damian" uniqKey="Roland D" first="Damian" last="Roland">Damian Roland</name><affiliation wicri:level="1"><nlm:affiliation>SAPPHIRE Group, Health Sciences, Leicester University, Leicester, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>SAPPHIRE Group, Health Sciences, Leicester University, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Nijman, Ruud G" sort="Nijman, Ruud G" uniqKey="Nijman R" first="Ruud G" last="Nijman">Ruud G. Nijman</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, Department of Infectious Diseases, Section of Pediatric Infectious Diseases, Imperial College London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Faculty of Medicine, Department of Infectious Diseases, Section of Pediatric Infectious Diseases, Imperial College London</wicri:regionArea><wicri:noRegion>Imperial College London</wicri:noRegion></affiliation></author><author><name sortKey="Maconochie, Ian" sort="Maconochie, Ian" uniqKey="Maconochie I" first="Ian" last="Maconochie">Ian Maconochie</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Da Dalt, Liviana" sort="Da Dalt, Liviana" uniqKey="Da Dalt L" first="Liviana" last="Da Dalt">Liviana Da Dalt</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova</wicri:regionArea><wicri:noRegion>Department of Women's and Children's Health - University Hospital of Padova</wicri:noRegion></affiliation></author><author><name sortKey="Mintegi, Santiago" sort="Mintegi, Santiago" uniqKey="Mintegi S" first="Santiago" last="Mintegi">Santiago Mintegi</name><affiliation wicri:level="1"><nlm:affiliation>Pediatric Emergency Department, Biocruces Bizkaia Health Research Institute, Hospital Universitario Cruces. University of the Basque Country, UPV/EHU. Bilbao, Basque Country, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Pediatric Emergency Department, Biocruces Bizkaia Health Research Institute, Hospital Universitario Cruces. University of the Basque Country, UPV/EHU. Bilbao, Basque Country</wicri:regionArea><wicri:noRegion>Basque Country</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of emergency medicine</title><idno type="eISSN">1097-6760</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Study objective</b></p><p>We aimed to describe the variability and identify gaps in preparedness and response to the COVID-19 pandemic in European EDs caring for children.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>A cross-sectional point prevalence survey, was developed and disseminated through the pediatric emergency medicine research networks for Europe (REPEM) and the United Kingdom and Ireland (PERUKI). We aimed to include ten EDs for countries with > 20 million inhabitants and five EDs for less populated countries, unless the number of eligible EDs was below five. ED directors or their delegates completed the survey between March 20</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Overall 102 centers from 18 countries (86% response rate) completed the survey: 34% did not have an ED contingency plan for pandemics and 36% had never had simulations for such events. Wide variation on PPE items was shown for recommended PPE use at pre-triage and for patient assessment, with 62% of centers experiencing shortage in one or more PPE items, most frequently FFP2/N95 masks. Only 17% of EDs had negative pressure isolation rooms. COVID-19 positive ED staff was reported in 25% of centers.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>We found variation and identified gaps in preparedness and response to the COVID-19 epidemic across European referral EDs for children. A lack in early availability of a documented contingency plan, provision of simulation training, appropriate use of PPE, and appropriate isolation facilities emerged as gaps that should be optimized to improve preparedness and inform responses to future pandemics.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32419713</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6760</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>May</Month><Day>15</Day></PubDate></JournalIssue><Title>Annals of emergency medicine</Title><ISOAbbreviation>Ann Emerg Med</ISOAbbreviation></Journal><ArticleTitle>Preparedness and response to Pediatric CoVID-19 in European Emergency Departments: a survey of the REPEM and PERUKI networks.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.annemergmed.2020.05.018</ELocationID><Abstract><AbstractText Label="Study objective" NlmCategory="UNASSIGNED">We aimed to describe the variability and identify gaps in preparedness and response to the COVID-19 pandemic in European EDs caring for children.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">A cross-sectional point prevalence survey, was developed and disseminated through the pediatric emergency medicine research networks for Europe (REPEM) and the United Kingdom and Ireland (PERUKI). We aimed to include ten EDs for countries with > 20 million inhabitants and five EDs for less populated countries, unless the number of eligible EDs was below five. ED directors or their delegates completed the survey between March 20<sup>th</sup> and 21<sup>st</sup> to report practice at that time. We used descriptive statistics to analyse data.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Overall 102 centers from 18 countries (86% response rate) completed the survey: 34% did not have an ED contingency plan for pandemics and 36% had never had simulations for such events. Wide variation on PPE items was shown for recommended PPE use at pre-triage and for patient assessment, with 62% of centers experiencing shortage in one or more PPE items, most frequently FFP2/N95 masks. Only 17% of EDs had negative pressure isolation rooms. COVID-19 positive ED staff was reported in 25% of centers.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">We found variation and identified gaps in preparedness and response to the COVID-19 epidemic across European referral EDs for children. A lack in early availability of a documented contingency plan, provision of simulation training, appropriate use of PPE, and appropriate isolation facilities emerged as gaps that should be optimized to improve preparedness and inform responses to future pandemics.</AbstractText><CopyrightInformation>© 2020 by the American College of Emergency Physicians.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bressan</LastName><ForeName>Silvia</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Buonsenso</LastName><ForeName>Danilo</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Università Cattolica del Sacro Cuore, Roma, Italia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Farrugia</LastName><ForeName>Ruth</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Child and Adolescent Health, Mater Dei Hospital, Msida, Malta.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parri</LastName><ForeName>Niccolo'</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Emergency Department & Trauma Center, Ospedale Pediatrico Meyer Firenze, Florence, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oostenbrink</LastName><ForeName>Rianne</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department general Pediatrics, ErasmusMC - Sophia, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Titomanlio</LastName><ForeName>Luigi</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Pediatric Emergency Department, Hopital Universitaire Robert-Debre, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roland</LastName><ForeName>Damian</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>SAPPHIRE Group, Health Sciences, Leicester University, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nijman</LastName><ForeName>Ruud G</ForeName><Initials>RG</Initials><AffiliationInfo><Affiliation>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Medicine, Department of Infectious Diseases, Section of Pediatric Infectious Diseases, Imperial College London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maconochie</LastName><ForeName>Ian</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Pediatric Emergency Medicine, Division of Medicine, St. Mary's hospital - Imperial College NHS Healthcare Trust, London, London, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Da Dalt</LastName><ForeName>Liviana</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Division of Pediatric Emergency Medicine, Department of Women's and Children's Health - University Hospital of Padova, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mintegi</LastName><ForeName>Santiago</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Pediatric Emergency Department, Biocruces Bizkaia Health Research Institute, Hospital Universitario Cruces. University of the Basque Country, UPV/EHU. Bilbao, Basque Country, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Emerg Med</MedlineTA><NlmUniqueID>8002646</NlmUniqueID><ISSNLinking>0196-0644</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32419713</ArticleId><ArticleId IdType="doi">10.1016/j.annemergmed.2020.05.018</ArticleId><ArticleId IdType="pii">S0196-0644(20)30366-8</ArticleId><ArticleId IdType="pmc">PMC7225691</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Infect Dev Ctries. 2020 Feb 29;14(2):125-128</Citation><ArticleIdList><ArticleId IdType="pubmed">32146445</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Feb 15;395(10223):470-473</Citation><ArticleIdList><ArticleId IdType="pubmed">31986257</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 Feb 20;382(8):727-733</Citation><ArticleIdList><ArticleId IdType="pubmed">31978945</ArticleId></ArticleIdList></Reference><Reference><Citation>Arch Dis Child. 2019 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Londres</li><li>Hollande-Méridionale</li><li>Latium</li><li>Île-de-France</li></region><settlement><li>Londres</li><li>Paris</li><li>Rome</li><li>Rotterdam</li></settlement></list><tree><country name="Italie"><noRegion><name sortKey="Bressan, Silvia" sort="Bressan, Silvia" uniqKey="Bressan S" first="Silvia" last="Bressan">Silvia Bressan</name></noRegion><name sortKey="Buonsenso, Danilo" sort="Buonsenso, Danilo" uniqKey="Buonsenso D" first="Danilo" last="Buonsenso">Danilo Buonsenso</name><name sortKey="Buonsenso, Danilo" sort="Buonsenso, Danilo" uniqKey="Buonsenso D" first="Danilo" last="Buonsenso">Danilo Buonsenso</name><name sortKey="Da Dalt, Liviana" sort="Da Dalt, Liviana" uniqKey="Da Dalt L" first="Liviana" last="Da Dalt">Liviana Da Dalt</name><name sortKey="Parri, Niccolo" sort="Parri, Niccolo" uniqKey="Parri N" first="Niccolo'" last="Parri">Niccolo' Parri</name></country><country name="Malte"><noRegion><name sortKey="Farrugia, Ruth" sort="Farrugia, Ruth" uniqKey="Farrugia R" first="Ruth" last="Farrugia">Ruth Farrugia</name></noRegion></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Oostenbrink, Rianne" sort="Oostenbrink, Rianne" uniqKey="Oostenbrink R" first="Rianne" last="Oostenbrink">Rianne Oostenbrink</name></region></country><country name="France"><region name="Île-de-France"><name sortKey="Titomanlio, Luigi" sort="Titomanlio, Luigi" uniqKey="Titomanlio L" first="Luigi" last="Titomanlio">Luigi Titomanlio</name></region></country><country name="Royaume-Uni"><noRegion><name sortKey="Roland, Damian" sort="Roland, Damian" uniqKey="Roland D" first="Damian" last="Roland">Damian Roland</name></noRegion><name sortKey="Maconochie, Ian" sort="Maconochie, Ian" uniqKey="Maconochie I" first="Ian" last="Maconochie">Ian Maconochie</name><name sortKey="Nijman, Ruud G" sort="Nijman, Ruud G" uniqKey="Nijman R" first="Ruud G" last="Nijman">Ruud G. Nijman</name><name sortKey="Nijman, Ruud G" sort="Nijman, Ruud G" uniqKey="Nijman R" first="Ruud G" last="Nijman">Ruud G. Nijman</name></country><country name="Espagne"><noRegion><name sortKey="Mintegi, Santiago" sort="Mintegi, Santiago" uniqKey="Mintegi S" first="Santiago" last="Mintegi">Santiago Mintegi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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